Ghantous Yasmine, Bahouth Hany, Rachmiel Adi, Abdelraziq Murad, Joachim Michael V, Abu-El-Na'aj Imad
Oral and Maxillofacial Surgery Department, Baruch Padeh Medical Center, Poriya.
Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.
J Craniofac Surg. 2020 Jul-Aug;31(5):1330-1333. doi: 10.1097/SCS.0000000000006321.
The type of the armed conflict on the Syrian battle field acquired several types of injuries; including injuries that were caused by explosive, shrapnel and blast injuries.In the current study, the authors conducted an overview of maxillofacial patients, who mainly suffered from ballistic injuries in term of injuries, reconstruction, and management.Overall, 53 maxillofacial Syrian patients were treated. The most prominent injury was soft tissue lacerations (21/97) and in terms of hard tissue injuries, the most prominent site was the mandible (N = 19) while the ramus and the body presented the most common sub-sites of injury. Hard tissue injuries were treated either by close or open reduction to obtain primary stabilization.From the psychological aspect, most of the patients suffered from guilt for leaving the combat area, those patients were mostly males in their 20s or 30s. On the other hand, older patients suffered mainly from depression, stress, and fear of returning to their home land.To conclude, the Syrian civil war has several characteristics that defer from other combats. Thus, the management of Syrian patients has to be tailored accordingly.
叙利亚战场的武装冲突导致了多种类型的损伤，包括爆炸伤、弹片伤和冲击伤。在本研究中，作者对颌面患者进行了概述，这些患者在损伤、重建和治疗方面主要遭受弹道伤。总体而言，共治疗了53名叙利亚颌面患者。最突出的损伤是软组织裂伤（21/97），就硬组织损伤而言，最突出的部位是下颌骨（N = 19），而升支和体部是最常见的损伤亚部位。硬组织损伤通过闭合或开放复位进行治疗以获得初步稳定。从心理方面来看，大多数患者因离开战斗区域而感到内疚，这些患者大多是20多岁或30多岁的男性。另一方面，老年患者主要遭受抑郁、压力和对返回家园的恐惧。总之，叙利亚内战具有一些与其他战斗不同的特点。因此，对叙利亚患者的治疗必须相应地进行调整。
